| NPI | 1972825784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403560) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 594131) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 343370) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 594131) | |
| Enumeration Date | 2010-02-20 |
| Last Update Date | 2022-03-18 |